Chapter 312: Talking Nonsense

"You...you...this..."

For a moment, Wang Xueyang was a little incoherent.

This was the first time she had seen a patient like this.

"Doctor, my mother has always been like this, you just need to give her pain relief now!" The young man said immediately, "Don't worry about anything else!"

Wang Xueyang's brows were deeply twisted together.

She picked up the stethoscope, listened to the patient's heart, and then began to examine the abdomen.

"Family, please help lift the patient's clothes and expose her belly." Wang Xueyang ordered.

"Hey, just use a painkiller! Why make so much trouble..." The young man muttered, but still lifted the woman's clothes according to Wang Xueyang's instructions.

When the clothes were lifted up, the moment the abdominal skin was exposed.

Wang Xueyang was stunned again.

The woman's abdominal skin was all dark pigmentation, and it was purple, and all covered with scars.

"You...what's wrong with your skin?"

But the woman didn't seem to hear this sentence.

She yelled again: "My stomach hurts, please give me pain relief! I need painkillers!"

With her yell, Wang Xueyang stopped asking about the skin problem and started listening to her bowel sounds again.

"The bowel sounds are very active, it may be a common intestinal spasm." Wang Xueyang said, "I'll give you an intramuscular injection of medicine to see if it can relieve it."

Lu Chen on the side was about to speak.

But her son suddenly said: "Actually, we came to Jinghua Second Hospital this morning to see the dermatology department. She had a stomachache just after the visit. The pain was even worse an hour ago, so we came to you."

"Come to the dermatology department?" Wang Xueyang frowned.

"Yes." The young man said.

"Is it because of the skin on the stomach?" Wang Xueyang stood up and began to re-examine the body.

She found that in addition to the obvious pigmentation on the stomach and thighs, the patient's skin was densely covered with small rashes.

Wang Xueyang continued to ask: "What did the dermatology department say?"

"The dermatology department said it was an allergy, not serious, so they let us go back."

"When did your stomach start to hurt?"

"It hurt after leaving the dermatology department"

Wang Xueyang noticed that her son spoke with obvious impatience!

In fact, Lu Chen wanted to remind Wang Xueyang that he had seen this patient before, and wanted to express his own diagnosis ideas.

But Wang Xueyang was still asking questions and examining the body.

It was a very disrespectful behavior for Lu Chen to interrupt her like this.

He was going to wait until Wang Xueyang finished the consultation before expressing his thoughts.

"Then I'll give you a hormone to see if the rash disappears and the stomach pain can be relieved!" Wang Xueyang frowned.

She thought to herself, could this skin be allergic purpura?

But at this time, the woman replied directly, "I don't take hormones! I don't take hormones!"

She said it twice in a row, and she was quite emotional.

Then, his son suddenly said, "Actually, my mother also had a stomachache yesterday, and she went to the hospital."

Wang Xueyang frowned. The patient and family members in front of him kept talking nonsense and saying inconsistent things.

"What about the results of your examination at the hospital yesterday?"

"I didn't bring it with me, but the abdominal CT, liver and kidney function, blood routine, etc., the results are all normal. Give her a 6542, and she will feel better after the injection yesterday."

She actually knows so much about the condition and medication?

Wang Xueyang nodded, "Okay."

She gave the woman a 6542, and they went out.

...

After the two went out, Lu Chen was about to tell Wang Xueyang about the condition, but at this time, three more patients came to the emergency room in succession.

It became busy all of a sudden, and Lu Chen didn't find time to communicate with Wang Xueyang.

About ten minutes later.

After seeing these three emergency patients, the woman and her son walked into the clinic again.

The woman covered her stomach with both hands and lay directly on the examination bed, shouting: "My stomach hurts, help me!"

Wang Xueyang immediately stood up and asked, "Is it not better at all?"

"Not better at all, it hurts more, open my stomach quickly, there is something in my stomach, it's very cold, open my stomach quickly."

Her son also came in with her.

Wang Xueyang said in a deep voice: "Now no matter what disease it is, you must do another CT scan and blood test. I will give you painkillers only when you are sure that there is nothing wrong."

Whether the patient has allergic purpura or other acute abdominal diseases, the abuse of painkillers is likely to cover up the condition and cause more serious consequences!

What's more, Wang Xueyang did not see the patient's examination results yesterday. What if the family members lied again?

The patient's son frowned: "Just finished, and do it again?"

"There is no way, she really hurts." Wang Xueyang explained patiently, "What if it is really a disease of the abdominal organs, the abuse of painkillers is more dangerous!"

The patient's son heard this and became more impatient.

"Yesterday's doctor and the previous doctors all said that she was in pain. Why can't you use painkillers?"

"The CT scan and blood tests have been ordered. Take them first." Wang Xueyang's attitude was very firm.

Seeing this, the woman and her family turned around and left.

...

Seeing the two leave, Lu Chen finally had a chance to speak.

"Teacher, I've seen this patient before!"

Wang Xueyang looked at Lu Chen in surprise, "Where have you seen him?"

"In a temple in Jinghua, the woman suddenly fainted."

"Oh." Wang Xueyang nodded, "Nothing else was abnormal?"

If you just saw her, it would not help the diagnosis and treatment of the patient.

Lu Chen said in a deep voice: "In fact, I found these abnormal signs of the patient at that time, morbid paleness, skin scars, etc."

"Well, then?" Wang Xueyang continued, she felt that Lu Chen had more to say.

"I feel that the patient's appearance is particularly like a foreign image, that is... vampire!"

As soon as Lu Chen's voice fell, Wang Xueyang was stunned.

"Vampire?"

It seems to be true!

Wang Xueyang frowned and recalled all the physical signs of the woman.

Lu Chen said slowly: "Later, after I returned to the dormitory, I checked the relevant information and found that this is a rare disease-porphyria!"

"Porphyria?" Wang Xueyang said in astonishment.

"Well, this is caused by the lack of enzyme activity in the heme biosynthesis pathway."

Then, Lu Chen briefly talked about some characteristics of porphyria. ＵU Reading www.uukanshu.net

"Porphyria, the main symptoms are acute painful photosensitivity and acute abdominal pain!"

All these symptoms correspond to the woman's physical signs!

The doubt in Wang Xueyang's eyes was slowly replaced by clarity.

She originally thought that the patient had allergic purpura.

But from what Lu Chen said, the probability of porphyria is not small!

However, any clinical diagnosis cannot be based on clinical symptoms alone, but also requires laboratory or imaging examinations.

In addition, the diagnosis of porphyria cannot be done in Jinghua Second Hospital.

Wang Xueyang said solemnly: "Whether it is allergic purpura, porphyria, or other acute abdominal diseases, this patient is very troublesome. After checking the abdominal CT scan, we will try to transfer her to a higher-level hospital."

The higher-level hospital of Jinghua Second Hospital is only Kyoto.